Issue 296 - 21 March 2024
Welcome to the fortnightly Health Improvement and Innovation Digest. The Digest has links to key evidence of interest, with access to new content arranged by topic. You can forward this newsletter to others who may be interested in receiving it. They can register and subscribe here. You can also access other recent issues of the digest
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Health Equity (New Zealand)
‘‘The past is rich in glory and knowledge’’—The intersection of indigenous evaluation and culturally responsive evaluation
In this article, published in New Directions for Evaluation, each author describes the development of what is loosely referred to as Indigenous Evaluation (IE), and how IE has contributed to and benefited from connecting with the larger stream of Culturally Responsive Evaluation. Living with dementia in Aotearoa New Zealand: Samoan families’ perspectives
There is very little research about dementia in Aotearoa (New Zealand) New Zealand (NZ) Pacific communities, but information available suggests that Pacific people are presenting with dementia at a younger age and with more severe cognitive symptoms than do non-Pacific. The Samoan ethnic group is NZ’s largest Pacific population. This study, published in AlterNative, explores experiences and understanding of dementia from family sessions with 25 people from 10 Samoan families living with dementia. The lived experience of chronic pain for Māori: how can this inform service delivery and clinical practice? A systematic review and
qualitative synthesis
The aim of this article, published in The New Zealand Medical Journal, was to synthesise the literature describing experiences of chronic pain and pain management for Māori, and to understand how this experience could inform service delivery and clinical practice. Investigating major trauma in Māori youth at Te Whatu Ora Counties Manukau
The Ninth Perioperative Mortality Review Committee (POMRC) report found the likelihood of death was over three times higher in Māori youth compared to non-Māori (age: 15-18 years) in the 30-days following major trauma. The aim of this study, published in the ANZ Journal of Surgery, is to investigate variations in care provided to Māori youth presenting to Te Whatu Ora Counties Manukau (TWO-CM) with major trauma, to inform policies and improve care.
Hospital Productivity (International)
Admission avoidance hospital at home
Admission avoidance hospital at home provides active treatment by healthcare professionals in the patient's home for a condition that would otherwise require acute hospital inpatient care, and always for a limited time period. This is the fourth update of this review. The objective of this Cochrane Review was to determine the effectiveness and cost of managing patients with admission avoidance hospital at home compared with inpatient hospital care. Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis
Worldwide there is an increasing demand for Hospital at Home as an alternative to hospital admission. Although there is a growing evidence base on the effectiveness and cost‐effectiveness of Hospital at Home, health service managers, health professionals and policy makers require evidence on how to implement and sustain these services on a wider scale. The objective of this Cochrane Review was to identify, appraise and synthesise qualitative research evidence on the factors that influence the implementation of Admission Avoidance Hospital at Home and Early Discharge Hospital at Home, from the perspective of multiple stakeholders, including policy makers, health service managers, health professionals, patients and patients’ caregivers.
Cancer Services (New Zealand)
Emergency Department Services (International)
Cardiovascular Disease and Diabetes (International)
Exercise‐based cardiac rehabilitation for adults with heart failure
People with heart failure experience substantial disease burden that includes low exercise tolerance, poor health‐related quality of life, increased risk of mortality and hospital admission, and high healthcare costs. The objective of this Cochrane Review was to assess the effects of exercise‐based cardiac rehabilitation on mortality, hospital admission, and health‐related quality of life of adults with heart failure.
Primary Health Care (International)
Models for delivery and co‐ordination of primary or secondary health care (or both) to older adults living in aged care facilities
The number of older people is increasing worldwide and public expenditure on residential aged care facilities (ACFs) is expected to at least double, and possibly triple, by 2050. Co‐ordinated and timely care in residential ACFs that reduces unnecessary hospital transfers may improve residents' health outcomes and increase satisfaction with care among ACF residents, their families and staff. These benefits may outweigh the resources needed to sustain the changes in care delivery and potentially lead to cost savings. This Cochrane Review comprehensively and systematically presents the available evidence of the effectiveness, safety and cost‐effectiveness of alternative models of providing health care to ACF residents.
Increased Immunisation (New Zealand)
Smoking Cessation (New Zealand)
Smoking Cessation (International)
An overview of systematic reviews on predictors of smoking cessation among young people
Understanding the factors that influence smoking cessation among young people is crucial for planning targeted cessation approaches. The objective of this review, published in PloS One, was to comprehensively summarise evidence for predictors of different smoking cessation related behaviours among young people from currently available systematic reviews. Scoping review of smoking cessation interventions in pregnant women attending primary care
Smoking during pregnancy has many adverse effects for infant and mother. Despite this, many pregnant women continue smoking. Primary care is a suitable area to provide smoking cessation interventions. The aim of this study, published in BJGP Open, was to investigate available literature regarding effectiveness of smoking cessation interventions for pregnant women in primary care, the factors contributing to this effectiveness and to provide suggestions for future research.
Oral Health (New Zealand)
Ministry of Health Consultations & Events
Proposed revised Code of Practice for the Safe Transport of Radioactive Material: ORS C6
Following section 90(a) of the Radiation Safety Act 2016 the Director for Radiation Safety is reviewing codes of practice. Under section 89(2) the Director is consulting with persons likely to be affected by a proposed amendment or revocation to C6. Submissions close 11.00 pm, Wednesday 10 April 2024. Proposed revised Code of Practice for Nuclear Medicine: ORS C2 for consultation
Following section 90(a) of the Radiation Safety Act 2016 the Director for Radiation Safety is reviewing codes of practice that have been issued under section 86(1) of the Act. Following a review, the Director has made amendments and revocations to ORS C2: Code of Practice for Nuclear Security (C2). Under section 89(2) the Director is consulting with persons likely to be affected by a proposed amendment or revocation to C2. Submissions close 11.00 pm, Tuesday 16 April 2024.
The information available on or through this newsletter does not represent Ministry of Health policy. It is intended to provide general information to the health sector and the public, and is not intended to address specific circumstances of any particular individual or entity.
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